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General NPI Number Information
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NPI Number | 1447339122
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Entity Type | Organization
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Legal Business Name | SURESH GHARSE, MD
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 3900 MONUMENT AVE SUITE 'A'
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City | RICHMOND
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State | VA
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Zip | 23230-3955
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Country | US
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Telephone | 804-355-9975
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Fax | 804-355-9953
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Provider Business Mailing Address
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Address Line | 3900 MONUMENT AVE SUITE 'A'
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City | RICHMOND
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State | VA
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Zip | 23230-3955
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Country | US
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Telephone | 804-355-9975
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Fax | 804-355-9953
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SURESH PURUSHOTTAM GHARSE
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Credential | M.D.
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Telephone | 804-355-9975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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